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Individual

BARRY C KLEEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
285 SILLS RD BLDG 18, EAST PATCHOGUE, NY 11772-4808
(631) 475-1224
(631) 475-1588
Mailing address
285 SILLS RD BLDG 18, EAST PATCHOGUE, NY 11772-4808
(631) 475-1224
(631) 475-1588

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
163605
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
163605
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01480717
NY
Enumeration date
07/03/2006
Last updated
08/15/2019
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